Conclusions and Relevance:
We demonstrate a significant symptom burden associated with active cigarette smoking, with significantly worse SNOT-22 scores in the smoking cohort by a mean magnitude of 10 points. We could find no strong demonstrable evidence that smoking increases the likelihood of need for revision sinus surgery.
Clinicians should encourage smoking cessation alongside general CRS medical management.
Key words : rhinosinusitis; smoking; quality of life